The Link Between Perceived Racism and Health Services Utilization Among Older Adults
An Analysis of Commonwealth Fund’s 2021 International Health Policy Survey
Bibliographic Data
| ID | 9101653 |
|---|---|
| Authors | Preshit Nemdas Ambade (0000-0002-6919-7206, Central Michigan University, corresponding author), Zachary Hoffman (Augusta University), Kaamya Mehra (Augusta University), Munira Gunja (Commonwealth Fund), Justin X Moore (0000-0002-5496-752X, Center for Health Equity Transformation, Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY) |
| Year | 2025 |
| Volume | 63 |
| Issue | 4 |
| Pages | 317-324 |
| Publication date | 2025-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000002134 |
| PMID | 39898835 |
| OpenAlex | W4407086553 |
| Language | EN |
| Citations received | 1 |
| References cited | 40 |
OBJECTIVES: To understand the link between perceived racial/ethnic discrimination among older adults and 2 health service utilization processes: (1) visiting health care providers or emergency room (ER), and (2) repeated visits after the first encounter. METHODS: Analysis of 2021 Commonwealth Fund International Health Policy Survey of Older Adults-a nationally representative, self-reported, and cross-sectional survey from Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, the United Kingdom, and the United States. We used a 2-part multivariable hurdle model. RESULTS: Perceived discrimination was associated with 18% reduced odds of visiting at least 1 primary care provider (OR: 0.82; 95% CI: 0.68-0.99). Among those who have visited at least 1 provider, those who perceived discrimination were more likely to visit different providers when compared with those who did not (RR: 1.06; 95% CI: 1.01-1.11). Perceived racism was associated with first (OR: 1.13; 95% CI: 1.01-1.27) and frequent (RR: 1.14; 95% CI: 1.01-1.29) ER visits. CONCLUSIONS: Perceived racial discrimination is linked with higher health service utilization among older adults in high-income countries. POLICY IMPLICATIONS: A multilevel policy response that includes workforce sensitization and diversification, system transparency and accountability, and addressing structural barriers to accessing health care is warranted
Commonwealth · Ethnic group · Family medicine · Health care · Political science · Racism · Workforce · Cultural Competency in Health Care · Medicine · Migration, Health and Trauma · Racial and Ethnic Identity Research · Gerontology
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| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |